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Unseen Consequences: Research Linking Childhood Tr ...
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The document presents a comprehensive overview of a presentation by Dr. Stacy Drury on the connection between childhood trauma and epigenetics, hosted by the American Psychiatric Association. It is part of a continuing education program for healthcare professionals offering 1.5 CME credits and aims to provide insights into the long-term effects of early adversity on biological processes which carry implications across an individual's lifespan and even generations.<br /><br />The research explores how adverse childhood experiences (ACEs) can lead to developmental and psychopathological changes via epigenetic modifications, cellular aging, inflammation, and altered stress responses. Key themes include the biological embedding of adversity across generations, the dimensional approach to trauma, and the pathways through which these biological alterations are transmitted. The presentation underscores sex-specific effects on brain development and how prenatal stress and parental PTSD can influence genetic regulation in offspring.<br /><br />Attention is paid to how epigenetic factors can capture aging processes and their implications for psychopathology, emphasizing the importance of considering both genetic changes and the environmental impacts on these processes. The work further delves into methodological considerations like tissue specificity and the need for precision in measuring epigenetic changes to understand trauma's full impact.<br /><br />Future directions focus on integrating multiple epigenetic indicators to track normative changes, building biological causation models, and examining the impact of evidence-based treatments on these pathways. There’s a highlighted need for treatments that do not solely rely on patient-reported outcomes but assess biological changes as well, proposing a need for comprehensive models that combine psychological with biological assessments to measure therapeutic outcomes accurately.
Keywords
childhood trauma
epigenetics
American Psychiatric Association
CME credits
adverse childhood experiences
biological processes
psychopathology
epigenetic modifications
stress responses
biological causation models
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